| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,256.00 | $3,329.00 | $6,681.00 | |
BCBS
| Facility | $2,830.00 | $5,467.00 | $9,419.00 | |
Lucent Health
| Facility | $7,936.74 | $16,547.20 | $26,542.00 | |
United
| Facility | $2,799.00 | $5,728.00 | $10,111.00 |